BEUDAMED
    FDA Adverse Event Death Summary report: N

    MARPAC

    MDR report key: 14655551 · Received June 10, 2022

    Report

    Report Number
    1722095-2022-00001
    Event Type
    Death
    Date Received
    June 10, 2022
    Date of Event
    December 30, 2021
    Report Date
    January 17, 2022
    Manufacturer
    MARPAC, INC
    Product Code
    CBH
    UDI-DI
    00653658003406
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    505

    Narratives

    Description of Event or Problem · 0

    UNTRAINED STAFF USED THE ET TUBE HOLDER. THE RESULT WAS THAT THE ET TUBE SLIPPED. IT IS UNCLEAR WHETHER THE ET TUBE SLIPPING WAS A FACTOR CONTRIBUTING TO THE PATIENT'S DEATH OR NOT. THIS HAPPENED IN THE UK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    630638 MARPAC ET TUBE HOLDER CBH MARPAC, INC 340 210217 00653658003406

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Female Death